NPI | 1003973066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4046-026) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4046-26) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-04-07 |